HESI RN EXIT EXAM 2024 STUDY GUIDE
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
COMPREHENSIVE RN NURSING REVIEW
NGN AND NCLEX-RN PREPARATION
In planning care for a 6 month-old infant, what must the nurse provide to
assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWER-C) Security
A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time
if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing." - CORRECT ANSWER-B) "Would you
please clarify what you have written so I am sure I am reading it
,correctly?"
What is the most important consideration when teaching parents how to
reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWER-D) Age of children
in the home
A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The nurse
should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT
ANSWER-C) Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires
the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWER-A) Respiratory
rate of 42
,A client is admitted with low T3 and T4 levels and an elevated TSH level.
On initial assessment, the nurse would anticipate which of the following
assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWER-A) Lethargy
The emergency room nurse admits a child who experienced a seizure at
school. The father comments that this is the first occurrence, and denies
any family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT
ANSWER-B) "The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWER-A) Risk for injury
, Which these findings would the nurse more closely associate with anemia
in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160 - CORRECT ANSWER-B) Pale mucosa
of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses - CORRECT ANSWER-D) Pupil responses
Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness - CORRECT
ANSWER-D) A preschooler with intermittent episodes of alertness
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
COMPREHENSIVE RN NURSING REVIEW
NGN AND NCLEX-RN PREPARATION
In planning care for a 6 month-old infant, what must the nurse provide to
assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort - CORRECT ANSWER-C) Security
A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you
mean."
B) "Would you please clarify what you have written so I am sure I am
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time
if you would be more careful."
D) "Please print in the future so I do not have to spend extra time
attempting to read your writing." - CORRECT ANSWER-B) "Would you
please clarify what you have written so I am sure I am reading it
,correctly?"
What is the most important consideration when teaching parents how to
reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home - CORRECT ANSWER-D) Age of children
in the home
A 35 year-old client with sickle cell crisis is talking on the telephone but
stops as the nurse enters the room to request something for pain. The nurse
should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - CORRECT
ANSWER-C) Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires
the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWER-A) Respiratory
rate of 42
,A client is admitted with low T3 and T4 levels and an elevated TSH level.
On initial assessment, the nurse would anticipate which of the following
assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - CORRECT ANSWER-A) Lethargy
The emergency room nurse admits a child who experienced a seizure at
school. The father comments that this is the first occurrence, and denies
any family history of epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT
ANSWER-B) "The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWER-A) Risk for injury
, Which these findings would the nurse more closely associate with anemia
in a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160 - CORRECT ANSWER-B) Pale mucosa
of the eyelids and lips
The nurse is caring for a client in hypertensive crisis in an intensive care
unit. The priority assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses - CORRECT ANSWER-D) Pupil responses
Which of these clients who are all in the terminal stage of cancer is least
appropriate to suggest the use of patient controlled analgesia (PCA) with a
pump?
A) A young adult with a history of Down's syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the hands
D) A preschooler with intermittent episodes of alertness - CORRECT
ANSWER-D) A preschooler with intermittent episodes of alertness
